Mission Statement: JAMA Health Forum is an international, peer-reviewed, online, open-access journal that addresses health policy and strategies affecting medicine, health, and health care. The journal publishes original research, evidence-based reports, and opinion about national and global health policy; innovative approaches to health care delivery; and health care economics, access, quality, safety, equity, and reform. Health policy leaders contribute timely and insightful commentary via the JAMA Forum, and news briefs cover major reports released by government agencies, foundations, health-policy think tanks, and other policy-focused organizations. JAMA Health Forum is a member of the JAMA Network, a consortium of peer-reviewed, general medical and specialty publications. The journal also presents curated health policy content from across the JAMA Network, including JAMA, JAMA Internal Medicine, and other JAMA Network journals.
John Z. Ayanian, MD, MPP, University of Michigan, Ann Arbor, Michigan
Melinda B. Buntin, PhD, Vanderbilt University, Nashville, Tennessee
Julie M. Donohue, PhD, University of Pittsburgh, Pittsburgh, Pennsylvania
Said Ibrahim, MD, MPH, MBA, Weill Cornell Medicine, New York, New York
Alan M. Zaslavsky, PhD, Harvard Medical School, Boston, Massachusetts
Joan Stephenson, PhD, JAMA Network, Chicago, Illinois
JAMA Health Forum
Institute for Healthcare Policy & Innovation
University of Michigan
2800 Plymouth Rd
North Campus Research Complex (NCRC), Bldg 16
Ann Arbor, MI 48109
jamahealthforum@jamanetwork.org
Abebe Bekele, MD, University of Global Health Equity, Kigali, Rwanda
Ana Diez Roux, MD, PhD, MPH, Drexel University, Philadelphia, Pennsylvania
Richard Frank, PhD, Harvard Medical School, Boston, Massachusetts
Rebekah E. Gee, MD, MPH, MSHPR, Louisiana State University, New Orleans, Louisiana
Thomas LaVeist, PhD, Tulane University, New Orleans, Louisiana
Ninez Ponce, PhD, University of California Los Angeles, Los Angeles, California
Katherine Baicker, PhD, Harris School of Public Policy, University of Chicago, Chicago, Illinois
Kirstin Bibbins-Domingo, MD, PhD, MAS, School of Medicine, University of California, San Francisco
Stuart M. Butler, PhD, Brookings Institution, Washington, DC
Dave A. Chokshi, MD, MSc, New York City Health + Hospitals, New York, New York
Lisa Cooper, MD, MPH, Johns Hopkins Schools of Medicine, Nursing, and Public Health, Baltimore, Maryland
David Cutler, PhD, Department of Economics and Kennedy School of Government, Harvard University, Cambridge, Massachusetts
Sandro Galea, MD, DrPH, School of Public Health, Boston University, Boston, Massachusetts
Sherry Glied, PhD, MA, Robert F. Wagner Graduate School of Public Service, New York University, New York, New York
Lawrence O. Gostin, JD, O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC
Scott Gottlieb, MD, American Enterprise Institute, Washington, DC
Larry Levitt, MPP, Kaiser Family Foundation, San Francisco, California
Diana J. Mason, PhD, RN, Center for Health Policy and Media Engagement, George Washington University School of Nursing, Washington, DC
Michelle M. Mello, JD, PhD, Stanford Law School, Stanford, California
Joshua M. Sharfstein, MD, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
Benjamin D. Sommers, MD, PhD, Harvard T. H. Chan School of Public Health, Boston, Massachusetts
Joan M. Teno MD, MS, School of Medicine, Oregon Health & Science University, Portland, Oregon
Gail Wilensky, PhD, Project HOPE, Bethesda, Maryland
Offices 330 N Wabash Ave, Chicago, IL 60611
Interim Editor in Chief Phil B. Fontanarosa, MD, MBA
Executive Managing Editor Annette Flanagin
Managing Editor Brenda Gregoline
Deputy Managing Editor John McFadden
Assistant Deputy Managing Editor Amy Nicoletti
Manuscript Editors Gabriel Dietz, Amanda Ehrhardt (senior manuscript editors); Hillary C. Ford, Emily Greenhow, Stephanie R. Holland, Jamie Scott, Kirby Snell
Freelance Manuscript Editing Manager Connie L. Manno
Freelance Manuscript Editing Coordinators Sara M. Billings (senior coordinator); Doug Brandt, Timothy Gray, Peter J. Olson, Juliet A. Orellana, Paul Ruich, Kirby Snell
Freelance Copy Editors and Copyreaders Judith A. Ahlers, Stephanie Lang Beckmeyer, Jane Calayag, Jan Clavey, Mary Coerver-Connolly, Heather E. Flint, Bernadette M. Hromin, Paul G. Jaworski, Ruth A. Kaufman, Laura King, Julia L. Kurtz, Martha W. Lentz, Jenny MacKay, Tanya M. Martin, Charon Pierson, Lori Michelle Ryan, Thressa D. Smith, Annette Theuring, Donna J. Thordsen, Christine Tilles, Cara M. Wallace, Caroline A. V. Woods
Visual Abstract Editors Heather E. Hsu, MD, MPH, Andrew M. Ibrahim, MD, MSc
Editorial Operations and Systems
Directors Larry Bryant, Jacob Kendall-Taylor, Monica Mungle
Managers and Staff Fanny L. Brown, Anna Bukowski, Lee Calibeo, Lenette Gardner-Gullens, Tosca Hall, Erin Kato, Rachell Lozano, Sylvia Orellana, Kenneth Otani, Caroline Sietmann, Angelia Waltower
Scientific Online Resources
Deputy Editor and Director Michael Berkwits, MD
Digital Media Production Eric Butkus, Jesse McQuarters (managers); Elena Guobyte, Emily Ling, Daniel Morrow, Shelly Steffens (producers)
Social Media Eman Hassaballa Aly (manager); Reuben Rios (coordinator)
Electronic Media Systems and Services Mary Lynn Ferkaluk (manager); Jonathan Laxamana (coordinator)
Budgets and Administration
Director Marla A. Jefferson
Staff Deanna Willis, Yolanda Davis
Editorial Counsel Joseph P. Thornton, JD
Manager Deanna Bellandi
Staff Jim Michalski
Periodical Publishing Staff
Senior Vice President and Executive Publisher Thomas J. Easley
Group Vice President and Publisher Brian Shields
Vice President, Publishing Production Operations Karen Adams-Taylor
Vice President, Digital Product Management and Development Paul Gee
Staff Rhonda Bailey Brown, Monica Smith
Advertising Sales and Marketing–Pharmaceuticals and Devices
Director Jeffery J. Bonistalli
Manager Kathy Russell
Staff Mirna Monal
Sales Representative Stacey McHugh, Tim Melroy
Director, Marketing Mark Thornbury
Staff Tricia Castellano
Advertising Sales and Marketing–Health Systems, Recruitment, and Classified
Director Anna Frazier
Coordinator Meghan Thue
Media Consultants Sade DeRamus-Townsend, Thalia Moss
Recruitment Engagement Specialist Tony Ralenkotter
Circulation Sales and Marketing
Director, Worldwide Sales Vida Damijonaitis
Managers Saskia Bolore, Gretchen Linder, Brian McCartney
Sales Representatives Christine Hearne, Natasha Nekola
Staff Henry Aguillon, David Baum, Ron Thomas
Marketing and Product Development
Directors Rick Bell, Elizabeth Solaro, Sara Zimmerman
Associate Publisher/Senior Product Development Geoffrey Flick
Managers Lindsay Dawson, Ellen Gibson, Craig McCaffrey, Michael McGraw, Daniel Pickhardt, Romando Rossini, Sarah Subramanian, Stacy Tucker, KC Walsh
Business Analyst Sirisha Alluri
Staff Millette Jackson-Bates, Tom Miller, Jacob Mishkin, Morgan Osgood
Directors Karl Elvin, Nancy Essex, Jaye Mize, Sean O’Donnell, Sue Sherrill
Managers David Antos, Anthony Bautista, Chris Borden, Debbie Camp, Jennifer Carney, Lydia Cruz, Scott Curl, Diane Darnell, Nanette Diaz, Jordynn Farrar, Allison Hughes, Tiffany Jones, Colleen Kelly, John Lash, Chris Meyer, Annemarie Neff, J.D. Neff, Sean Ohlson, Phil O’Leary, Bill Pedone, Susan Price, Jaynam Shah, Erin Spencer, Denise Steinhauser, Joe Wixted
Advertising and Production Services Ahmed Avendano, Kim Boler, Fin Carter, Michael Deegan, Daniel DeGroot, Euwanaha Joiner-Smith, Joshua Lane, Cindy Rendlen, Ellen Yoshihara, Annissa Zak
Circulation Services Julie Burton, Ronna Hewitt, Mary Sieck, Geneine Van Someren, Jamaal Vargas
Content Production Systems Mike Bujewski, Nathan Mitre
Digital Production Regina Brownlee, Amanda Camino, Brenda Chandler-Grayer, Emily Dunn, Amy Evers, Maleeka Holden, Teri Hutchison, Dan Knowles, Joshua Lampinen, Natalie Marsh, Patricia E. Panek, Marla Seidell, La’son Diggs Sledge, Julian Wiley
Graphics Joe Amft, James Collver, Maria Duda, Fred Furtner, Carolyn Hall, Maria Kowalkowski
Proofreading Carol Joy Farrell, Maria Giannini, Sasha Grossman, Judith A. Literskis, Teresa H. Omiotek, Michael Ryder
JAMA Network is a consortium of peer-reviewed medical publications that includes JAMA® and the JAMA Network journals. JAMA Health Forum does not hold itself responsible for statements made by any contributor. All articles published, including opinion articles, represent the views of the authors and do not reflect the policy of the Journal, the American Medical Association, or the institution with which the author is affiliated, unless otherwise indicated.
©2021 American Medical Association. All rights reserved. Reproduction without permission is prohibited.